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患者,女,30岁,急性臂盂肾炎行抗感染治疗。连续应用氨苄青霉素3.0g,静注,bid,共7天,无不良反应.尿培养和药敏试验,培养结果为大肠埃希氏菌生长.药敏试验氨苄青霉素、庆大霉素、氟哌酸、新霉素、氯霉素、复方新诺明均耐药,仅先锋霉素 V 为中敏.故改用先锋霉素 V2.5g,生理盐水20ml 稀释,静脉注射后3分钟,患者起床小便,即感头晕、眼花、恶心、呕吐,P110,BP11/6.7kPa,拟诊为先锋霉素过敏。立即平卧,肌注异丙嗪25mg,10分钟后自觉症状消失,继续观察30分钟,BP13/8kPa,P80,R20,恢复正
Patients, female, 30 years old, acute pyelonephritis line anti-infective treatment. Continuous application of ampicillin 3.0g, intravenous, bid, a total of 7 days, no adverse reactions. Urine culture and drug susceptibility tests, culture results for the growth of Escherichia coli. Drug susceptibility test ampicillin, gentamicin, droperidol Acid, neomycin, chloramphenicol, cotrimoxazole are resistant, only the Vimicron V is sensitive, so the switch to Vanguard ADM V2.5g, 20ml diluted normal saline, intravenous injection of 3 minutes after the patient got up Pee, that feeling dizzy, vertigo, nausea, vomiting, P110, BP11 / 6.7kPa, to be diagnosed as cephalosporin allergy. Immediate supine, intramuscular injection of promethazine 25mg, 10 minutes after symptoms disappear, continue to observe 30 minutes, BP13 / 8kPa, P80, R20, recovery is positive